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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - The HGR is a continuing education initiative comprised of a four-module seminar series focused on
best
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - operating under traditional reimbursement will likely need outside financial support to maintain the initiative
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - Debriefing for Clinical Learning
November 18, 2021
Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/debriefing-clinical-learning
Updated in September 2021. Originally published in December 2011 by researchers at the University of
California, S…
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - In Conversation With… Amy J. Starmer, MD, MPH
April 1, 2016
Citation Text:
In Conversation With… Amy J. Starmer, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
July 10, 2024 - In Conversation with...Patrick S. Romano, MD, MPH
November 1, 2010
Citation Text:
In Conversation with..Patrick S. Romano, MD, MPH. PSNet [internet]. 2010.In Conversation with...Patrick S. Romano, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
August 01, 2005 - The Unfinished Patient Safety Agenda
Linda H. Aiken, PhD, RN | August 1, 2005
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Aiken LH. The Unfinished Patient Safety Agenda. PSNet [internet]. Rockville (MD): Agency for Healthc…
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN
August 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - CA-MRSA Skin Infections: An Ounce of Prevention is
Worth a Pound of Cure
October 1, 2012
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet].
2012.
https://psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
Case Objectives
Identify risk f…
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psnet.ahrq.gov/node/73200/psn-pdf
April 28, 2021 - A Sweet Case of Hidden Hydrogen Ions
April 28, 2021
Plante D, Falero A. A Sweet Case of Hidden Hydrogen Ions. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
The Case
A?24-year-old, Arabic-speaking?woman?with a history of type 1?diabetes?mellitus, gastroparesis,?and
severe e…
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - Privacy or Safety?
August 21, 2015
Halamka JD, McGraw D. Privacy or Safety? PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/privacy-or-safety
Case Objectives
Understand that the HIPAA Omnibus Rule is an enabler of data sharing, not a barrier.
Review common misconceptions about privacy rules.
Understand the…
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - SPOTLIGHT CASE
The Missing Abscess: Radiology Reads in the Digital Era
Citation Text:
Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - An example of a related initiative that I’m especially excited about is our learning and action network
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - We are in the planning stages of an initiative that would bring these tools to bear much more effectively … The physician quality reporting initiative is out there. They have developed hundreds of measures.
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psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - operating under traditional reimbursement will likely need
outside financial support to maintain the initiative
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psnet.ahrq.gov/node/857455/psn-pdf
January 01, 2024 - Addressing veteran health-related social needs: how
Joint Commission standards accelerated integration and
expansion of tools and services in the Veterans Health
Administration.
December 6, 2023
List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social needs: how Joint
Commission standard…
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psnet.ahrq.gov/node/40649/psn-pdf
April 21, 2015 - Explaining Michigan: developing an ex post theory of a
quality improvement program.
April 21, 2015
Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality
improvement program. Milbank Q. 2011;89(2):167-205. doi:10.1111/j.1468-0009.2011.00625.x.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/45631/psn-pdf
July 02, 2017 - Implementation science: a neglected opportunity to
accelerate improvements in the safety and quality of
surgical care.
July 2, 2017
Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate
Improvements in the Safety and Quality of Surgical Care. Ann Surg. 2017;265(6):1104-1112.
…
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psnet.ahrq.gov/node/867634/psn-pdf
February 26, 2025 - Using simulation to augment root cause analysis for
patient safety incidents at a tertiary care women's and
children's hospital: a qualitative feasibility study.
February 26, 2025
Burchell D, MacPhee S, Sinclair D, et al. Using simulation to augment root cause analysis for patient safety
incidents at a tertiary ca…
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psnet.ahrq.gov/node/47856/psn-pdf
June 02, 2019 - The impact of patient–physician alliance on trust
following an adverse event.
June 2, 2019
Shoemaker K, Smith CP. The impact of patient-physician alliance on trust following an adverse event.
Patient Educ Couns. 2019;102(7):1342-1349. doi:10.1016/j.pec.2019.02.015.
https://psnet.ahrq.gov/issue/impact-patient-physi…
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psnet.ahrq.gov/node/73584/psn-pdf
August 11, 2021 - What became of the 'eyes and the ears'?: exploring the
challenges to reporting poor quality of care among
trainee medical staff.
August 11, 2021
Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of
care among trainee medical staff. Postgrad Med J. 2021;97(1153):69…